NCC231928_NOI 146356 Payment Verification_20230621

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 6/20/2023 6:26:24 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 6/21/2023 7:59:31 AM (Review-NOI 146356 Edison Acres Subdivision—Individual
Lots)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:June 23,2023 5:00 PM
6/20/2023 6:26:33 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 6/20/2023 6:26:33 PM
Submit by Tev.Holloman 6/21/2023 10:46:56 AM (Payment Verification for NCC231928)
0 Tracey Davis
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:August 2,2023 5:00 PM
6/21/2023 7:59:47 AM
• Tev.Holloman assigned the task to Tev.Holloman 6/21/2023 10:46:34 AM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name Edison Acres Subdivision—Individual Lots
Is this project funded with ARPA(American Rescue Plan Act)grant funds?
No
Yes
CONFIRMED ARPA Project Number(if applicable)
Lot Numbers (If listed on the eNOI)
lots 1-45
NC Reference No.* NCG01-2023-1928
Certificate of NCC231928
Coverage(COC)No.*
Invoice Date 6/21/2023
Initial Invoice No. NCC231928-2023
Initial Fee $ 100.00
Invoice Due Date 7/21/2023
Important: If you change the choice below to Payment NOT RECEIVED,the application will be rejected,and a COC will
not be issued. This is the ONLY way to reject an eNOI at this step.
Payment Received* Payment Received.
Payment NOT RECEIVED.
Payment Status PAID
Date Payment 6/21/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 696718203
Transaction Number*
NOI Tracking No. 146356
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-HARNE-2023-Edison Acres Subdivision—Individual Lots

I I